Lecture 7: Other Topics (Scars, Complex Cases, Documentation, Collaboration, Resources)

Scars

Scars

What does the Vancouver Scar Scale assess?

• Vascularity

• Pigmentation

• Pliability

• Height (mm)

What are the 4 main treatments for Scars?

• Moisturize

• Soft Tissue Techniques

• Compression

• Stretching and Positioning

Identifying Complex Cases in Wound Care

Identifying Complex Cases in Wound Care

What are Red Flags a PT MUST refer out to physician? (Pt 1 -5)

• Worsening cellulitis

• Cellulitis in diabetic or elderly pop

• Unusual exudate from any wound

• Increase in wound depth

  • Bone, Tendon, Hardware, Other Deep Tissue

• Deep Compartment Infection

What are Red Flags a PT MUST refer out to physician? (Pt 2 - 4)

• Purple coloration

• Digit Eschar

• Significant area of eschar of foot or hand

• Non-healing wound after 2-3 months of optimal care

Wound Care Documentation

Wound Care Documentation

How to document Wound Care patients?

• SOAP Format

  • Subjective

    • Report from pt

    • History

  • Objective

    • Findings and Tx details

  • Assessment

    • Findings and anticipated barriers to healing

    • Can incluse PT Dx

    • Pt and Therapist goals

  • Plan:

    • Short and Long Term

Exaples of PT Diagnosis for Wound Care:

• Impaired integumentary integrity w partial thickness loss

• Impaired tissue integrity w full thickness loss

Example of Wound Care Goals:

• Reduce wound area 40% in 4 weeks

• Reduce wound depth 30% in 4 weeks

• Patient independent with skin care at home to improve hygiene

  and prevent infection in 4 weeks

• Reduce leg girth 1-2 cm at ankle or calf to promote wound

  healing

• Wound closure in 8 weeks

• Goals may also include a functional component i.e. ...to allow

  patient to return to..., or to reduce pain to.